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Feb 16

5 unique fitness classes happening in Chicago this weekend – Chicago Tribune

We get it, going to the gym and hopping on anelliptical is sometimes all you have energy for after a long week. But resigning yourself to being acardio machineand listening to the same workout playlist you've had since high school is no way to get excited about your fitness routine. We rounded up a handful of workout events happening in Chicago this weekend so you can get moving.

FRIDAY, FEB. 17

Guilty Pleasures at SoulCycle Southport 3423 N. Southport Ave. 773-281-7685Sure, the thought of spinning for the first timecan be terrifying. But riding to the tophits of your pre-teen days can make it a little less scary, no? This ride will feature "all the hits you sing in the shower." You'll be too out of breath to sing along, but you'll want to, and that shouldbe enough to keep you pedaling. 8:45 a.m. $30. Register:soul-cycle.com

SATURDAY, FEB. 18

SwissJump at Bellicon Studio 650 W. Lake St. 312-487-4877Picture SoulCycle. Now, picture SoulCycle without the bikes. Add in trampolines. That'sBellicon, the country's first "rebounding" studio, which uses mini-trampolinesfor a mix of cardio and muscle toning without the impact of a treadmill on your joints. SwissJump is the studio's newest class, mixing rebounding and dancing for all skill levels. 11 a.m. $15 for first-time attendees, $23 for returning customers.

Miles & Mimosas Indoor Triathlon (with brunch) atLakeshore Sport & Fitness211 N. Stetson Ave. 312-856-1111Completing a triathlon sounds like a lofty goal for Saturday morning, but the promise ofa post-race brunch would be enough to drag the laziest of us out of bed. How do you complete a triathlon indoors, you ask? Ten minutes in a pool, 20 on an indoor bike and 20 moreon a treadmill, akaa great full-body workout in under an hour. 8 a.m.-noon. $40-$50.Register:eventbrite.com

The Bloc 101 Group Workout at The Bloc931 S. Homan Ave.773-916-7670What's better than a great workout? A free workout. This North Lawndale boxing gym, dedicated to helping West Side teens stay in school, will be hosting a free class open for allwith the opportunity to make a donation once you get your ass kicked in class. Burn some calories and help a great cause in one fell swoop? Happy Saturday. 11 a.m.-12:30 p.m. Free. Register:eventbrite.com

SUNDAY, FEB. 19

Wedding Bootcamp and Brunch at Ravenswood Fitness Center1958 W. Montrose Ave.312-752-5890 If you're lucky in love and trying to shed some pounds before standing in front of everyone you know, this bootcamp/brunch combo for you and your significant other will get your buttsin gear. Bootcampis followed by a catered brunch with wedding industry gurus. Noon-2 p.m. $15. Tickets:eventbrite.com

@shelbielbostedt | sbostedt@redeyechicago.com

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Feb 16

2 Reasons It’s A Good Idea To Participate in Wellness Programs – TheHRDigest

Exercise is a word most people despise. It constantly reminds them how physical weak they are. Another reason that there arent any constant changes. It takes lots and lots of work. Combine the two, and you have people absolutely hating every second of a workout. As it turns out, habitual physical activity can have positive effects spill over the workplace.

According to death statistics from 2015 compiled by the CDC, the leading causes in the United States are heart disease, cancer, and chronic lower respiratory diseases. Collectively, these diseases killed 1,353,148 Americans that year.

A recent study shows that we can help employees reduce their risk of heart disease by implementing a wellness program. The U.S. government recommends employees get at least 2.5 hours a week of moderate aerobic activity or 1.5 hours of vigorous activity to reduce rates of heart disease.

The positive effects of promoting fitness at work are far too many. According to a 2005 study performed by health professor Jim McKenna of Leeds Metropolitan University, a good workout can cause an overall work performance boost of about 15 percent. Moreover, Harvard researchers noted that post-workout flow creates the optimal conditions for performing tasks that require cognitive thinking.

The link between fitness and the performance of simple cognitive tasks was first suggested by studies in the 1960s. In the 1990s, a cognitive psychologist at the Beckman Institute for Advanced Science and Technology at the University of Illinoispublished a paper in Nature showing that previously sedentary adults who took an aerobic fitness plan for six months boosted their performance in cognitive drills that required executive control. This kind of executive control helps you to switch between different tasks without making errors. It is also a key contributor to a complex set of processes like attention, working memory, decision making, planning, temporal integration and set shifting.

The effects of physical activity extend beyond cognitive skill training. "There's good epidemiological data to suggest that active people are less depressed than inactive people. And people who were active and stopped tend to be more depressed than those who maintain or initiate an exercise program," says James Blumenthal, PhD, a clinical psychologist at Duke University.

In a study conducted by Blumenthal and his colleagues: sedentary adults with major depressive disorder who reported regular exercise had lower depression scores a year later than their less active counterparts.

People who exercise on a regular basis, prone to anxiety are less likely to panic when they experience fight-or-flight sensations. This is because the body produces many of the same physical reactions. The reactions are increased heart rate and heavy perspiration, in response to exercise.

Moreover, exercise also helps reduce stress and help you gain better nights sleep. A study published in the Journal of Sport and Exercise Psychology found that endorphin-boosting, heart-pumping workouts promote happiness.

Habitual physical activity is directly associated with stress resilience. According to a study by Princeton University, it reorganizes the brain so its response to stress is reduced and anxiety is less likely to interfere with normal brain function.

Unfortunately, it takes months before any physical results of the physical workout are apparent. But, at the end of the day, its all about tuning into a mental state after exercise. Thats why your favorite employee perk should be an addition of a wellness program.

employee wellness programsfitness at workinvesting in employee wellness

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Feb 16

Making physical exercise work in addiction treatment – Addiction Now

Last months volume of the Journal of Substance Abuse Treatment included aresearch that explored the benefit of physical exercise in addiction treatment.

Exercise has been proven to be a great treatment for not only depression and anxiety, but also for panic disorder and major depression, said Jeremiah Weinstock, Ph.D., associate professor in the Department of Psychology at St. Louis University and lead author of the research article. So, I think exercise just goes after some of those underlying problems that people with addiction struggle with.

Weinstocks research described a new exercise intervention to address barriers encountered by people struggling with substance use disorders (SUDs) as they aim to start and maintain physical activity programs that meet public health guidelines.

Current guidelines state that adults need a minimum of 2 hours and 30 minutes of moderate-intensity aerobic activity a week to experience significant health benefits. Reduced depression, prevention of weight gain and improved muscular strength are among the many benefits associated with daily moderate-intensity exercise usually described as an intensity level in which a person is capable of talking, but not singing.

The positive effects of daily exercise are not only well-known but are proven to be particularly significant for people struggling with mental or behavioral disorders, yet exercise is often not a part of their lives.

A two-front approach

After years of extensive experience researching the rationale of physical exercise in the treatment of drug addiction, Weinstock drafted the intervention included in his research to be a fusion of specific intrinsic and extrinsic motivators or in his words, a combination of motivational interviewing with contingency management.

Motivational interviewing is an approach that aims to enhance a persons drive and eliminate uncertainties toward change. Contingency management is a form of behavioral treatment in which monetary or tangible compensations are provided when specific goals are met.

According to Weinstock, closely-monitored financial rewards have been shown to help people with SUDs start exercise programs because financial struggles are often reported by patients as obstacles to regular exercise. And motivational interviewing was added to the intervention because multiple studies have demonstrated its positive impacts when used as a separate approach or as a part of larger addiction treatment intervention.

We used a two-front approach, he said. Extrinsic motivation helps people start new things, so we offered gift certificates for people who started the exercise program. Then we really focused on intrinsic motivation because once those extrinsic motivators are gone, what keeps people going and sticking to exercise is intrinsic motivation, to get something out of it that internally just makes them feel really good.

Students drink less when they exercise more

Hoping that by promoting a specific (positive) behavior, another (negative) behavior would change, Weinstock led a randomized clinical trial in December with 70 heavy-drinking, sedentary college students from the University of Connecticut.

Again, Weinstocks tactic was to mix motivational interviewing with contingency management.

The students participated in (continue reading)

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Making physical exercise work in addiction treatment

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Last months volume of the Journal of Substance Abuse Treatment included a research that explored the benefit of physical exercise in addiction treatment.

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Livia Areas-Holmblad

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Feb 16

What To Do If You Want To Lose WeightBut Just Can’t Motivate Yourself To Get Started – Women’s Health


Women's Health
What To Do If You Want To Lose WeightBut Just Can't Motivate Yourself To Get Started
Women's Health
You know you want to shed pounds and you're pretty clear on the changes you need to make to reach that magic number on the scale. But you also know that gettingand stayingon track can be super-daunting, especially if you're running low in the ...

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Feb 16

5 Foods to Help You Stay Fit and Lose Weight This WinterPlus 5 Foods to Avoid – Runner’s World


Runner's World
5 Foods to Help You Stay Fit and Lose Weight This WinterPlus 5 Foods to Avoid
Runner's World
How are those New Year's weight loss resolutions holding up? If you're like most of us, you could use a boost right about now. After all, it's hard to maintain motivation when summer (and all that tempting outdoor time) is still far, far away. The good ...

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Feb 16

Trying to lose weight? The colder months might be the perfect time – messenger-inquirer

Freezing temps are no excuse to give up on fitness. As it turns out, you might stand a better chance of losing weight when it's cold.

A new study published in the journal Scientific Reports found that people actively trying to shed pounds had the best results when the temperature dropped. The more inhospitable the weather, the more conscientious people became about keeping track of their meals and calories.

"Climate-related factors can directly change a person's behavior, and these factors can have a certain impact on intentional efforts to lose weight," said Sang Youl Rhee, who led the research team at Kyung Hee University Medical Center in Seoul. "In addition, various climatic factors can lead to a significant change in the level of energy expenditure in the body."

Researchers tracked the weight loss of 3,274 people under 42 throughout Europe, the Americas and Asia with Noom Coach, a fitness app that can pinpoint the location of users. They then used a meteorology service, called Weather Underground API, to monitor conditions, and discovered that colder temperatures and lower dew points as well as higher wind speed and precipitation were all linked to the app users' weight loss.

On average, people logged into Noom 110 days during the year-long study, or roughly every three days. Men tended to use the app more frequently than women and were more likely to lose weight. People who logged their meals regularly, especially dinner, lost the most weight.

"During the weight-loss journey, it's important to focus on changing the underlying behaviors that lead to obesity," said Rhee, an endocrinologist. "Those who continue logging food and have an awareness around what they are eating will be most successful in losing weight."

Other studies have explored the relationship between cooler temperatures and burning fat, including one in the journal of Trends in Endocrinology and Metabolism that said spending time in the cold can boost calorie burn by up to 30 percent. Yet those studies primarily examined the molecular breakdown of fat, not the behavioral connection between temperature and weight loss.

Chronicling meals, physical activity and weight have been proven in previous studies to be effective ways to lose weight. A Kaiser Permanente study of 1,700 people found that those who kept a daily account of what they ate lost twice as much weight as those who kept no record.

Noom, which launched in 2012, lets users choose from a variety of courses, ranging from 16 to 22 weeks, designed to prevent or manage chronic diseases such as hypertension and diabetes. Courses are created by physicians and come with a coach to guide users through the process. One week might be dedicated to understanding triggers to unhealthy foods you're eating while another focuses on getting you to try a variety of veggies.

"It's a cognitive behavior-based program, meaning you're trying to understand what makes you have certain habits and behaviors and change your thinking around those behaviors and habits," said Artem Petakov, president and co-founder of Noom. "There are different exercises to make you more mindful and more likely to problem-solve around those areas."

Petakov said Noom has worked with other researchers, including a team at the Icahn School of Medicine at Mount Sinai Hospital in New York, on wellness studies. In this case, the team at Kyung Hee approached the company, which has 45 million users worldwide, to get a diverse collection of anonymous data.

The study did not take exercise into account, but Petakov said that's not necessarily a shortcoming.

"The popular notion is that physical activity is the key to achieving weight loss, but the truth is it's more about nutrition," Petakov said. "When it's colder, you have more time to focus on the nutrition aspects, cooking more for example, and just have more time to dedicate to it without as many distractions as far as going outside."

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Feb 16

The secret diet – Las Cruces Sun-News

Jake Edmiston, For the Sun-News, LCPS Health 2:04 p.m. MT Feb. 15, 2017

Jake Edmiston(Photo: Darren Phillips)

With a multitude of diets on the market how is one supposed to know which diets are legit?

Today, popular diets are all around us: Paleo (restricts dairy, legumes, grains and oils), vegan (no animal products), vegetarian (allows eggs and dairy, no animal meat), Zone (counts calories and macronutrient percentages), South Beach (carbohydrates initially restricted then gradually added back in, focus on lean meat and vegetables), Weight Watchers (group setting where food is tracked by points), and Atkins (high fat, low carbohydrate diet). If your goal is to lose weight any diet can help in the short term. However, the problem is that people do not often make permanent lifestyle changes with these diets. Instead, people lose a little weight then quit the diet and typically put on more weight than they originally lost.

What is a person to do? What is the secret to picking a diet that will help you lose weight and be healthy? Fortunately, everyone already knows the secret. The secret is eat more fruits and vegetables, choose whole grains (brown rice instead of white), eats nuts and legumes (walnuts, almonds/beans, lentils), avoid processed sugary foods and beverages (candy bars, sodas, snack cakes), and consume less animal products.

Following these steps leads to successful weight loss. When whole foods, vegetables, fruits, legumes, and whole grains are the star of your plate there is not a lot of room left for unhealthier options.

If youre the type of person who needs a plan to follow, then it is okay to follow a diet. However, there is one key question to ask yourself, Can I implement this change for the rest of my life? Because in truth diets do not work, rather, healthy lifestyle changes will literally change your life. Changes need to be sustainable and easy to incorporate into your everyday routine.

A major barrier people face when looking to make positive lifestyle changes in their diet is the idea certain foods are off limits. For example, I could never give up macaroni and cheese. Thats my favorite. Or, I love my moms homemade apple pie. I cant go on a diet because I know I cant give up eating that. This does not have to be the case, however. Lifestyle changes dont have to mean giving up your favorite comfort foods or treats. Dont give up eating the foods you love because that is not sustainable. Instead, focus on eating whole, less processed foods, vegetables, fruits, legumes, and whole grains most of the time and allow yourself to enjoy the foods you love periodically so you never feel deprived. Just be sure treats do not become a daily occurrence. Above all, dont let perfection stand in the way of positive lifestyle changes.

Some suggestions for lifestyle changes can be:

1. Drink water instead of sodas/sugary beverages.

2. Eat a piece of fruit like an apple for an afternoon snack daily.

3. Incorporate more salads into your meals, but limit creamy dressings.

4. Try one new vegetable a week.

5. Look up recipes and cook at home using whole foods a few nights a week.

6. Check ingredient lists, looking for fewer listed ingredients and for ingredient names you are familiar with.

Talking to a dietitian can help you come up with some personalized lifestyle changes meeting your individual needs.

Making sustainable changes is hard. Some people do better with making several changes at once, and some do better slowly implementing changes. Think about what strategy works for you. Make goals today to add more whole foods, including vegetables and fruits, to your meals. The Centers for Disease Control and Prevention says that a person who increases his or her fruit and vegetable intake has lower risks for chronic diseases such as heart disease, diabetes, stroke and others.

So, the next time you are hungry, remember: dont let perfection be the enemy of the good. Make sustainable lifestyle diet choices by adding more whole foods to your meals.

Jake Edmiston is an NMSU dietetic intern working with LCPS Nutrition Services. He can be reached at hwedmist@nmsu.edu

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Feb 16

5 Supplements You Might Actually Want to Take – Esquire.com

You don't need supplements to live a healthy life. If you exercise regularly, eat a balanced diet, get sleep, and avoid stress, you will prevent health problems while gaining muscle and losing fat. But the right supplements can absolutely take your health and fitness to the next level. Life happenssometimes you travel, sometimes you get sick, and sometimes you eat two pounds of french fries in one sittingand it's nice to have a little help.

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If you want a boost, read on for a list of health and fitness supplements you might want to consider taking. And if you want to avoid a wrongful death lawsuit, check out the supplements to avoid.

Most supplements that people "swear by" have as much scientific backing as the flat earth theory. Fortunately, fish oil has plenty of positive evidence behind it.

First, it helps your heart. The omega-3 fatty acids found in fish oil reduce the risk of cardiovascular disease and reduce the risk of death for people who have had a heart attack. Second, it can help cancer patients improve their quality of life. Third, fish oil offers anti-inflammatory benefits that reduce arthritis pain (and are safer than anti-inflammatory drugs).

If these health benefits aren't appealing enough, consider this: Research shows fish oil boosts how much fat you burn while exercising. One study even found that three weeks of fish oil supplementation slashed body fat by two pounds.

Inside your gastrointestinal tract, you have more bacteria than you have cells in your entire body. And while there are (obviously) bad bacteria, there are also plenty of good bacteria essential for health, digestion, and fighting off sicknesses.

Many of us, however, don't have enough good bacteria in our gut due to poor diets, stress, and even past illnesses. For those who don't eat fermented foods all the time, try supplementing with probioticsthose that contain plenty of Lactobacillus acidophilus and Bifidobacteria bifidumand prebiotics, which feed the good bacteria.

Most supplements that people "swear by" have as much scientific backing as the flat earth theory.

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According to a recent study in the Journal of Nutrition, less than 3 percent of Americans get enough fiber. (Actually, most of us aren't even close.) But good levels of dietary fiber are associated with all kinds of health benefits like reducing the risk of heart disease, diabetes, several cancers, andof courseconstipation.

The best way to get fiber is to eat plenty of whole grains, fruits, and veggies every day. But for the moments you can't, keep a fiber supplement close at hand.

A lot of what we think we're deficient in is exaggeratedexcept for magnesium. Western diets tend to be low in magnesium despite the critical role it plays in the brain, heart, and muscles.

As for health benefits, magnesium supplementation can lower blood pressure (if you're at risk), reduce depression, enhance exercise performance, improve sleep quality, and protect against Type 2 diabetes. And if you have a deficiency, adding magnesium to your diet can increase testosterone too.

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If you lift weights and want to add more muscle, I strongly recommend some kind of protein powder. Everyone knows protein is needed for muscle growth; plenty of studies show that protein supplementation accelerates your muscle growth more than working out without it.

Granted, a chicken breast is probably better for you than a shake. But is a protein drink a simple and easy way to get everything you need for muscle recovery after a workout? Hell yeah.

Preworkouts are safe, just as long as you don't take too much. As researchers from UNC cautioned, "Adverse effects include gastrointestinal symptoms, cardiac arrhythmia, blood pressure increases, and potential effects on lipids and blood glucose." (Death is also a side effect.)

But are they worth it? The evidence still is inconclusive. If you're looking for a pre-workout boost, stick with the old fashioned cup of coffee or teait will give you gentle surge of energy without the heart attack.

Fat burners don't actually burn fat: They suppress hunger, elevate your metabolism, and raise your body temperature so you burn more calories. They also commonly include ingredients like caffeine, carnitine, green tea, conjugated linoleic acid, and capsicum. (There's decent evidence that capsicum, or pepper, is a life-extender when eaten alone.)

The evidence with fat burners, however, is dicey. Some research found a slight reduction in body fat while others cite dangerous side effects and urge caution. (Fat burning supplements are regulated as "foods" by the FDA, not "drugs," and can contain hidden ingredients.)

My advice? Ditch fat supps and use the ultimate fat burner: diet and exercise.

Anthony J. Yeung, CSCS, is a fitness expert and founder of groombuilder.com.

6 Fitness Myths That Do More Harm Than Good

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Feb 16

The 10 Worst Foods For Your Heart – Essence.com

This article originally appeared on Time.

Want to keep your heart and cardiovascular system healthy for years to come? Keep these meals and snack items away from your cart and out of your regular diet. Save them for occasional indulgencesat mostand replace them with heart-healthy swaps whenever possible.

Fast-food burgers The science on whether saturated fats are truly linked to heart diseaseisnt entirely clear. When consumed in moderation, high-quality, grass-fed beef may even have some heart-health benefits, says Dr. Regina Druz, associate professor of cardiology at Hofstra University and chief of cardiology at St. John Episcopal Hospital in New York City.

But in general, Druz says, saturated fats from animals, especially when combined with carbohydrates, appear to have a deleterious effect on heart health." Avoiding fast-food restaurants, which tend to use lower quality ingredients and unhealthy cooking methods, is always a smart way to cut back, she says.

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Processed and cured meats Cold cuts and cured meats (likebaconand sausage) can be high in saturated fat. But even low-fat options tend to be very high in salt. Just six thin slices ofdeli meatcan contain half the daily recommended level of sodium, according to the American Heart Association.

The majority of people should be on a salt-restricted diet because of sodiums link to high blood pressure, says Dr. Laxmi Mehta, director of the Womans Cardiovascular Health Program at the Ohio State University Wexner Medical Center. Not everyone needs medication to make big strides, she says. Sometimes my patients with elevated blood pressure are able to make significant improvements just by adjusting their diet."

Deep-fried foods Several studies have linked the consumption offried foods,like French fries, fried chicken and fried snacks, to an increased risk of heart disease. Conventional frying methods create trans fats, a type of fat shown to raise the bad type of cholesterol and lower the good kind.

If youre making a veggie stir-fry at home and youre preparing it with olive oil and coconut oil, theres certainly nothing wrong with that, says Druz. But what most people understand as typical fried food, the kinds you dont prepare at home, should certainly be avoided.

Candy For many years, fat was branded as the biggest dietary cause of heart disease. But a report published last year inJAMA Internal Medicinerevealed that studies funded by the sugar industry were largely responsible for pushing that belief. Now, experts say that diets high inadded sugarmay be just as big a threat by contributing to obesity, inflammation, high cholesterol and diabetes, all of which are risk factors for heart disease.

The debate in cardiology has pivoted from saturated fat and cholesterol to sugar, says Druz. If there is one ingredient I would say anyone with heart disease or risk for heart disease must avoid, its added sugar in any form.

Soft drinks and sugar-sweetened juices For many Americans, the largest source of added sugar in their diets isnt from food, but from beverages. Recent government reports found that more than 60% of children, 54% of adult men, and 45% of adult women hadat least one sodaor sugar-sweetened drink a day between 2011 and 2014.

Sugary cereals Even foods that seem like part of a balanced diet, like breakfast cereals, can be loaded with sugar. Eating refined carbohydrates and sugars in the morning is going to produce inflammation and make blood sugar go up and down, so youll crave more sugar throughout the day, Druz says. Instead, she recommends having fruit along with an egg or avocado on whole-wheat toast.

Cookies and pastries Most baked goodsespecially those that are commercially producedare full of sugar and are likely made with saturated fats (like butter or palm oil) or trans fats (like partially hydrogenated vegetable oil). You have two ingredients that work with each other to give somebody the worst possible nutritional profile," Druz says.

Margarine There may be room for debate about the cardiovascular risks associated with saturated fats, like butter. Whats more certain is that diets high in trans fats appear to definitely raise a persons risk of heart disease.

Trans fats are common in sticks of margarine that are solid at room temperature, which are often marketed as a healthier alternative to butter. To be safe, choose asoft, spreadable margarinethat contains no partially hydrogenated oils, or stick with olive oil instead.

Meat-lovers pizza After cold cuts and cured meats, pizza ranks second on the American Heart Associations list of salty six foods. (Other salt bombs to watch for include soups, condiments, and salad dressings.) Pizzas sodium contentas well as its saturated fatgoes way up as you pile on extra cheese and meat-based toppings. When eating out or getting delivery, limit yourself to one or two slices, and opt for veggie toppings instead.

Diet soda It may be fat-free and zero-calorie, but diet soda has a dark side. People are under the impression that theyre healthy, and theyre really not, says Druz. Research continues to mount linking the cola to the development of heart-disease risk factors like obesity and diabetes.

Some studies show that people who drink diet sodas tend to overcompensate andconsume more caloriesthan they otherwise would, while other research suggests that chemicals in diet soda may actuallyalter gastrointestinal bacteriaand make people more prone to gaining weight. While it may have no sugar, its not a heart-healthy choice, says Druz.

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Feb 16

Gastric bypass controls diabetes long term better than other … – Science News

People who undergo gastric bypass surgery are more likely to experience a remission of their diabetes than patients who receive a gastric sleeve or intensive management of diet and exercise, according to a new study. Bypass surgery had already shown better results for diabetes than other weight-loss methods in the short term, but the new research followed patients for five years.

We knew that surgery had a powerful effect on diabetes, says Philip Schauer of the Bariatric & Metabolic Institute at the Cleveland Clinic. What this study says is that the effect of surgery is durable. The results were published online February 15 in the New England Journal of Medicine.

The study followed 134 people with type 2 diabetes for five years in a head-to-head comparison of weight-loss methods. At the end of that time, two of 38 patients who only followed intensive diet and exercise plans were no longer in need of insulin to manage blood sugar levels. For comparison, 11 of 47 patients who had a gastric sleeve, which reduces the size of the stomach, and 14 of 49 who underwent gastric bypass, a procedure that both makes the stomach smaller and shortens digestion time, did not need the insulin anymore. In general, patients who had been diabetic for fewer than eight years were more likely to be cured, Schauer says.

Even those surgical patients who still needed to take insulin had greater weight loss and lower median glucose levels than others in the study. This study was also one of the few to show that bariatric surgery could help those with only mild obesity, defined as a body mass index between 27 and 34. How bariatric surgery might improve diabetes is still unknown, but scientists have pointed to effects on the bodys metabolism (SN: 8/24/13, p. 14) and gut microbes (SN: 9/5/15, p. 16).

Over five years, gastric bypass patients showed bettercontrol ofblood sugar levels than patients whoused a gastric sleeve or medical management such as intensive diet and exercise plans.

The same research team had published similar results at one and three years after surgery, but few studies looked further, says Kristoffel Dumon, a bariatric surgeon with the University of Pennsylvania Health System in Philadelphia. The criticism of bariatric research has been that there are no good long-term results. With weight-loss surgery, you often see rapid initial results, but you want to see that to a five-year time point.

Dumon also notes that the patients who received only intensive medical therapy did not report an improvement in their quality of life, and their emotional well-being worsened. People in the surgical group reported improvements in quality of life, but not in emotional well-being, a finding that Schauer says has more to do with stress management and other characteristics that wouldnt necessarily be affected by surgery.

Schauer hopes to have even longer-term data in the future. His team will combine their results with those from similar research at three other U.S. sites with the goal of following patients for up to 10 years.

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